BERNICE FORT - Registered Nurse License in Illinois | # 041285597

BERNICE FORT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285597

License Status

NOT RENEWED

Business

N

First Name

BERNICE

Last Name

FORT

Business Name

BERNICE FORT

Original Issue Date

10/31/1994

Effective Date

05/30/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021